Dr Austin Jeffrey Deporter, DMD in Greeley, CO

Dr Austin Jeffrey Deporter, DMD is a medicare enrolled "Dentist" provider in Greeley, Colorado. His current practice location is 1600 23rd Ave, Suite 200, Greeley, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 353-4329.

Dr Austin Jeffrey Deporter is licensed to practice in Colorado (license number 00202761) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366879728.

Contact Information

	Dr Austin Jeffrey Deporter, DMD
	1600 23rd Ave, Suite 200, Greeley, CO 80634-6071
	(970) 353-4329
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Austin Jeffrey Deporter
Gender	Male
Speciality	Dentist
Location	1600 23rd Ave, Greeley, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366879728
Provider Enumeration Date: 10/01/2013
Last Update Date: 09/02/2016

Medicare PECOS Information:

PECOS PAC ID: 8527388602
Enrollment ID: I20160613001395

Medical Identifiers

Medical identifiers for Dr Austin Jeffrey Deporter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366879728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019029653 (Illinois)	Secondary
122300000X	Dentist	00202761 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Austin Jeffrey Deporter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Austin Jeffrey Deporter, DMD 1600 23rd Ave, Suite 200, Greeley, CO 80634-6071 Ph: (970) 353-4329	Dr Austin Jeffrey Deporter, DMD 1600 23rd Ave, Suite 200, Greeley, CO 80634-6071 Ph: (970) 353-4329

Reviews and Comments

Dentist in Greeley, CO

Dr. Gary D. Sheldon, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3485 W 10th St Ste C, Greeley, CO 80634 Phone: 970-353-4746 Fax: 970-353-4751
Dr. Gregory Lyle Obermann, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7251 West 20th Street, Bldg.h-2, Greeley, CO 80634 Phone: 970-351-7153
Sara Elizabeth Maas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3485c W. 10th St., Greeley, CO 80634 Phone: 970-353-4746
Dr. Matthew Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1819 61st Ave Ste 102, Greeley, CO 80634 Phone: 405-206-1286
Dr. Zachary Nathan Gonzales, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6632 W 10th St, Ste 101, Greeley, CO 80634 Phone: 970-353-4848 Fax: 970-356-5752
Dr. W. Mark Brown, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3535 W 12th St, Suite A, Greeley, CO 80634 Phone: 970-353-7811
Dr. Gilbert H Sydney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3705 W 12th St, Greeley, CO 80634 Phone: 970-356-3717

Dr Austin Jeffrey Deporter, DMD - Medicare Dentist in Greeley, CO